Influencing factors of umbilical cord separation in full-term newborns

ZHANG Cong, CHENG Hui, LV Jian

Chinese Journal of Contemporary Pediatrics ›› 2010, Vol. 12 ›› Issue (11) : 867-869.

PDF(884 KB)
PDF(884 KB)
Chinese Journal of Contemporary Pediatrics ›› 2010, Vol. 12 ›› Issue (11) : 867-869.
CLINICAL RESEARCH

Influencing factors of umbilical cord separation in full-term newborns

  • ZHANG Cong, CHENG Hui, LV Jian
Author information +
History +

Abstract

OBJECTIVE: To investigate the influencing factors for the time of umbilical cord separation in full-term newborns. METHODS: The time of umbilical cord separation was recorded in 337 full-term newborns. Single factor and multifactor unconditioned logistic regression were performed to investigate the influencing factors of umbilical cord separation. Fourteen possible factors associated with the time of umbilical cord separation, including sex, gestational age, body weight, position of umbilical cord ligature, length of umbilical cord stump, umbilical cord diameter, cleanness of umbilical cord paster, hand cleanness of medical staff and family members and umbilical infection, were involved. RESULTS: The single factor correlative analysis demonstrated that the position of umbilical cord ligature, length of umbilical cord stump, umbilical cord diameter, cleanness of umbilical cord paster, and umbilical infection were influencing factors for the time of umbilical cord separation (P<0.05). The multifactor unconditioned logistic regression analysis demonstrated four major influencing factors for umbilical cord separation: position of umbilical cord ligature, length of umbilical cord stump, cleanness of umbilical cord paster, and umbilical infection. CONCLUSIONS: The following factors contribute to early separation of umbilical cord: the proper position of umbilical cord ligature (<0.5 cm to umbilical ring), the umbilical cord stump of <0.5 cm, keeping the umbilical cord paster clean and the prevention of umbilical infection.[Chin J Contemp Pediatr, 2010, 12 (11):867-869]

Key words

Umbilical cord separation / Influencing factor / Full-term newborn

Cite this article

Download Citations
ZHANG Cong, CHENG Hui, LV Jian. Influencing factors of umbilical cord separation in full-term newborns[J]. Chinese Journal of Contemporary Pediatrics. 2010, 12(11): 867-869

References

[1]沈晓明,王卫平.儿科学[M]. 第7版. 北京:人民卫生出版社, 2007:139.
[2]金汉珍. 实用新生儿学[M] .第3 版.北京:人民卫生出版社, 2003:354355.
[3]Anderson T. Umbilical cord clamping in preterm infants[J]. Pract Midwife, 2005, 8(1): 46-47.
[4]《产科学》编写组.产科学[M].济南:山东科学技术出版社,1983:70.
[5]乐杰.妇产科学[M] .第7版. 北京:人民卫生出版社, 2008:73.
[6]Mullany LC, Darmstadt GL, Tielsch JM. Safety and impact of chlorhexidine antisepsis interventions for improving neonatal health in developing countries[J]. Pediatr Infect Dis, 2006, 25(8): 665-675.
[7]布清. 新生儿脐带结扎残端长短与脱落时间的临床观察[J]. 山西医药杂志,2009,38(2):150.
[8]张建平,王绍荣.新生儿甲壳质脐带包临床应用的研究[J].现代护理, 2007, 13(22):2084-2085.
[9]刘素群,周红英,王静.黄连、艾叶、炉甘石对新生儿脐部的护理[J].现代中西医结合,2005, 14(9): 2600-2601.
[10]Mullany  LC, Darmstadt GL, Tielsch JM. Role of antimicrobial applications to the umbilical cord  in  neonates to prevent bacterial colonization and infection:a  review  of the evidence[J]. Pediatr Infect Dis, 2003, 22(11):996-1002.
[11]张小燕,覃遵科,王焕秀. 38例新生儿脐炎致败血症临床分析[J].中国当代儿科杂志,2001,3(3):283-284.
[12]Trotter S . Management of the umbilical cord—a guide to best care[J]. RCM Midwives, 2003, 6(7):308-311.
[13]Mercer JS, Vohr BR, McGrath MM, Padubury JF, Wallach M, Oh W. Delayed cord clamping in very preterm infants reduces the incidence of intraventricular hemorrhage and late-onset sepsis: a randomized, controlled trial[J]. Pediatrics, 2006, 117(4):1235-1242.

PDF(884 KB)

Accesses

Citation

Detail

Sections
Recommended

/